Evaluation of the safety level in three clinical laboratories of primary health care

Abstract

Introduction: The clinical laboratory is an interesting and complex work setting in which personnel are exposed to different pathogens. Objective: To evaluate the safety level of three primary health care clinical laboratories. Material and method: A checklist was prepared with the focus on defense in depth in correspondence with the method of evolution of safety levels (ens) automated in the ASeC software, programmed in Delphi 7 language. The venn diagrams were used to facilitate visualization. And understanding of ens outputs. Results: It was possible to verify from the checklist applied to the clinical laboratories of the polyclinics (A, B and C) that «A» has 34 % negative aspects for safety, «B» 37 % and «C» 47 %. In the topological schematization of the dominant SAs, it was evidenced that for step 0 the 3: Indicators of safety management by the direction of the practice (pd) and 5: Global indicators of the state turned out to be dominant in the three polyclinics. Of the safety culture in the facility. For step 3, the dominant aspects (as) in the three polyclinics were 1: Emergencies. Events within the laboratory. The risk profile of the three laboratories was determined, based on the ordering of the problems detected according to their importance for safety. Conclusions: Security problems common to laboratories where management responsibility principles are present were detected.